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DNA Hydroxymethylation in High-Grade Gliomas.

Angelika Stapińska-Syniec1, Marta Grabiec2, Marcin Rylski2,3

  • 1Department of Neurosurgery, Instytut Psychiatrii i Neurologii, Warsaw, Poland.

Journal of Neurological Surgery. Part A, Central European Neurosurgery
|December 6, 2021
PubMed
Summary

DNA hydroxymethylation, specifically 5-hydroxymethylcytosine (5-hmC) and TET enzymes, is crucial in high-grade gliomas. Reduced 5-hmC levels correlate with poor survival in glioblastoma multiforme (GBM) patients.

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Area of Science:

  • Neuro-oncology
  • Epigenetics
  • Cancer Genomics

Background:

  • The 2016 WHO classification of nervous system tumors integrates molecular and genetic markers with histopathology for glioma diagnosis.
  • Epigenetic modifications, including DNA methylation and hydroxymethylation, are increasingly recognized for their role in gene expression regulation during carcinogenesis.
  • Understanding these epigenetic alterations is vital for advancing glioma classification and treatment strategies.

Approach:

  • This review synthesizes current knowledge on DNA hydroxymethylation in human high-grade gliomas (WHO grades III and IV).
  • It examines the correlation between DNA hydroxymethylation patterns and patient survival outcomes in glioblastoma multiforme.
  • The review focuses on the expression levels of 5-hydroxymethylcytosine (5-hmC) and ten-eleven translocation (TET) enzymes in gliomas.

Key Points:

  • Reduced expression of 5-hydroxymethylcytosine (5-hmC) and TET enzymes is frequently observed in high-grade gliomas compared to normal brain tissue.
  • Lower levels of 5-hmC are significantly associated with poorer survival rates in glioblastoma multiforme patients.
  • Conversely, higher expression of the TET3 enzyme is linked to a better prognosis in GBM patients, highlighting its potential as a predictive biomarker.

Conclusions:

  • DNA hydroxymethylation plays a significant role in the molecular diagnostics and prognostic assessment of human gliomas.
  • The findings underscore the relevance of epigenetic markers for estimating patient survival and predicting treatment response.
  • Further research into these epigenetic mechanisms could lead to the development of novel targeted therapies for high-grade gliomas.